Ingaba igxalaba lakho livele ngequbuliso? Makhe sithethe ngale nto yokukhubeka kwegxalaba!

Owu, mhlawumbi uyayazi intlungu yegxalaba eliphumileyo, akunjalo? Isenokuba kukuwa, ukwenzakala kwezemidlalo, okanye ingozi yemoto. Igxalaba eliphumileyo sisifo esibi kakhulu, kodwa ukuba sinyangwa ngokufanelekileyo, sinokunyangwa ngokukhawuleza. Namhlanje, siza kuthetha ngayo ngokweenkcukacha, ngokungathi sithetha nomhlobo.

Yintoni kanye kanye i-shoulder dislocation?

Ngamafutshane, igxalaba eliphumileyo lithetha xa amathambo akwilungu legxalaba lakho ephuma kwindawo yawo efanelekileyo. Cinga ngale ndlela: ilungu lithetha apho amathambo amabini emzimbeni wethu adibana khona. La yinxalenye yenkqubo yethu yonke yamathambo .

Ilungu legxalaba lakho lenziwe yinxalenye efana nebhola yethambo lakho elingaphezulu lengalo (elibizwa ngokuba yi-humerus ) elingana nenxalenye efana nekomityi yethambo lakho legxalaba (elibizwa ngokuba yi-glenoid) . Ifana nebhola elingana nekomityi.

Ngoko ke, okwenzekayo kwesi sifo esibizwa ngokuba yi-shoulder dislocation kukuba unxibelelwano lwe-ball-and-socket luyakhululeka. Oku kunokonakalisa nezicubu ezijikeleze i-shoulder joint. Oku kuthetha:

• Kwimisipha
• Kwiimithambo-luvo
• Ukuya kwimisipha
• Ukuya kwimisipha
• Kwimithambo yegazi

Kubaluleke kakhulu: Ukuba ucinga ukuba igxalaba lakho likhutshiwe, okanye ukuba awukwazi ukulishukumisa igxalaba lakho, kufuneka uye kwigumbi likaxakeka esibhedlele ngoko nangoko. Ungaze uzame ukulitshintsha igxalaba lakho ngokwakho. Oku kuya kwenza ukwenzakala kube kubi ngakumbi.

Ziziphi iintlobo zokutsiba emagxeni?

Oogqirha bahlulahlula ukukhubeka kwamagxa ngokusekwe ekubeni ithambo lihambe kangakanani:

• Ukudilika okupheleleyo okanye ukuLuxation: Oku kuxa amathambo elungu ahlukene ngokupheleleyo kwaye engekho kwindawo yawo.
• Ukudibanisa inxalenye yelungu: Oku kubizwa ngoogqirha ngokuba yi-'lateral subluxation'. Okwenzekayo apha kukuba kukho into edibanise ilungu lakho kwaye amathambo amabini asahlangene, kodwa akaphelelanga njengangaphambili.

Kuqheleke kangakanani ukuxinwa kwamagxa?

Enyanisweni, ilungu legxalaba lelona lungu lixhaphakileyo emzimbeni wethu. Nangona kunjalo, alixhaphakanga kangako. Kwanakwilizwe elifana neMelika, malunga neshumi kwikhulu lamawaka abantu lifumana ukukhubeka kwegxalaba minyaka le.

Zithini iimpawu zegxalaba eliphumileyo?

Igxalaba eliphumileyo lingabangela iimpawu ezifana nezi:

• Intlungu enzima kakhulu.
• Ubuthathaka.
• Ukungakwazi ukuxhawulana ngezandla.
• Kubonakala ngathi igxalaba liphumile ngokucacileyo.
• Ukudumba.
• Ukugruzuka okanye ukutshintsha kombala wolusu.
• Ukuqaqamba kwemisipha.
• Ukuba ndindisholo, ukurhawuzelela, okanye ubuthathaka esandleni, engalweni, okanye kwiminwe.

Yintoni ebangela ukutyhala amagxa?

Ngamafutshane, nantoni na efaka amandla amakhulu ngokwaneleyo ukuba akhuphe ilungu legxalaba lakho inokubangela oko. Ezona zizathu zixhaphakileyo zezi:

• Ukuwa: Cinga ngezinto ezinjengokutyibilika kwigumbi lokuhlambela, ukuwa emthini, okanye ukuwa elelini.
• Iingozi zezithuthi: Njengeengozi zebhayisekile, iingozi zeemoto.
• Iingozi zemidlalo: Ukuntywila nokuwa ngelixa udlala ikhilikithi, imidlalo efana neragbi, kunye nevolibholi.

Ngubani osengozini enkulu yokubanjwa ngamagxa?

Nangona nabani na enokufumana ukukhubeka kwegxalaba, abanye abantu basengozini enkulu. Oku kuquka:

• Abadlali abadlala imidlalo yokudibanisa (umz. iragbi, ibhola ekhatywayo).
• Amadoda (amadoda anamathuba aphindwe kabini okuba neentlungu zamagxa kunabafazi).
• Ulutsha oluphakathi kweminyaka eli-15 nengama-30 ubudala.
• Abo bawanyusa amagxa abo okokugqibela.

Ziziphi iingxaki ezinokubakho xa igxalaba lityumkile?

Ukuqhekeka kwamagxa kunokubangela umonakalo emathanjeni nakwizicwili ezijikeleze igxalaba lakho. Ezi zezona ngxaki zixhaphakileyo:

• Ukuqhekeka kwamathambo.
• Ukuqhekeka kweLigament kunye neTendon.
• Umonakalo wemithambo-luvo.
• Ukonakala kwemithambo yegazi.
• Ubunzima beMisipha.

Yintoni le nto ibangela ukuba iHill-Sachs ibole?

Abanye abantu banokuba nento ebizwa ngokuba yiHill-Sachs Lesion xa bekhupha igxalaba labo. Oku kufana nokuqhekeka kwenxalenye efana nebhola yethambo lakho elingaphezulu lengalo (ihumerus). Ukuba igxalaba lakho liyaphuma kwaye ihumerus icinezele kwisokethi yeblade yegxalaba, loo nxalenye efana nebhola inokonakala.

Ugqirha uyazi njani ngokuqinisekileyo ukuba igxalaba likhutshiwe?

Ugqirha uza kuxilonga igxalaba eliphumileyo ngovavanyo lomzimba . Uza kuxilonga igxalaba lakho kunye nengalo yonke. Kuya kufuneka uxelele ugqirha ngeempawu zakho kunye nento obuyenza ngaphambi kokwenzakala kwegxalaba.

Zeziphi iimvavanyo ezenziwayo koku?

Ukuze ahlole ngokuchanekileyo umonakalo wangaphakathi emva kokukhubeka kwegxalaba, ugqirha angenza uvavanyo lwemifanekiso olufana nolu:

• Ii-X-reyi.
• Umzobo weMagnetic Resonance (MRI).
• I-tomography ekhompyutheni (i-CT scan).
• I-ultrasound.

Luluphi unyango lwegxalaba eliphumileyo? (Oku kubaluleke kakhulu!)

Ukuba uziva ngathi ukrunekile igxalaba lakho,Yiya kwigumbi likaxakeka esibhedlele ngoko nangoko. Unyango olubalulekileyo kwigxalaba eliphumileyo kukubuyisela ingalo yakho apho yayikhona, kwindawo efana nekomityi. Oku kubizwa ngokuba kukunciphisa okanye ukuguquguqula . Oku kwenziwa ngaphandle kotyando. Ugqirha uza kutyhala aze atsale umzimba wakho ngaphandle ukuze alungelelanise igxalaba lakho. Usenokunikwa i-anesthetic yendawo ukuze uvale indawo ejikeleze igxalaba lakho, okanye unganikwa amayeza okuthomalalisa umzimba ukuze uphumle.

Nceda ukhumbule oku: Ungaze uzame ukubeka igxalaba lakho wedwa. Ungaze uvumele nabani na ngaphandle komntu oqeqeshiweyo ukuba achukumise okanye ashukumise igxalaba lakho elonzakeleyo. Gcina igxalaba lakho lizinzile kangangoko, kwaye ungazami ukulinyanzela.

Ukuba uzama ukubuyisa igxalaba lakho ngokwakho, ungenza ukwenzakala kube kubi ngakumbi kwaye wonakalise izicubu ezikufutshane.

Emva kokuba ugqirha ebuyisele ilungu lakho endaweni yalo, ungadinga unyango olongezelelekileyo. Ezi ziquka:

• Ukungashukumi: Emva kokuba igxalaba lilungisiwe, kuya kufuneka unxibe i-splint okanye i-sling ukuze uthintele igxalaba elonzakeleyo. Oku kuya kunciphisa uxinzelelo egxalabeni kwaye kulincede liphile. Ugqirha wakho angakuxelela ukuba ukhenkce igxalaba lakho elonzakeleyo izihlandlo ezininzi ngemini. Kusenokufuneka wenze umthambo olula ukuze igxalaba lakho lingaqini kwaye liqine. Buza ugqirha wakho ukuba kufuneka unxibe i-splint okanye i-sling ixesha elingakanani kwaye kufuneka uqhelise kangaphi igxalaba lakho. Uninzi lwabantu kuya kufuneka bagcine igxalaba labo lingashukumi kangangeeveki ezininzi.
• Amayeza: Ugqirha wakho uza kukuxelela ukuba zeziphi iipilisi onokuzithatha ukunciphisa iintlungu nokudumba. Musa ukuthatha iipilisi zokunciphisa iintlungu ze-OTC kangangeentsuku ezingaphezu kwe-10 ngexesha ngaphandle kokuthetha nogqirha.
• Ukuphumla: Kufuneka uphephe nayiphi na imisebenzi yomzimba esebenzisa igxalaba lakho okanye ebeka uxinzelelo kulo. Buza ugqirha wakho ukuba zeziphi imisebenzi ekufuneka uziphephe de uphile.
• Unyango Lomzimba: Nje ukuba igxalaba lakho lipholile, kuya kufuneka uqale unyango lomzimba ukuze uncede ufumane amandla kunye nokuhambahamba. Ekuqaleni, oku kuya kubandakanya uthotho lwemithambo yokunyakaza ukuze unciphise ukuqina. Njengoko ii-ligaments zakho zegxalaba (ezaziwa ngokuba yi-shoulder capsule) ziqala ukuphola, kuya kufuneka wolule ukuze uncede ukhulule igxalaba lakho kwaye uligcine lingaqini. Okokugqibela, ugqirha wakho okanye ingcali yezonyango zomzimba iya kongeza imithambo yokuqinisa izihlunu zegxalaba lakho. Oku kunokunceda ukunciphisa umngcipheko wokukhubeka kwegxalaba kwixesha elizayo. Abantu abaninzi baya kufuna unyango lomzimba kangangeenyanga ezimbalwa emva kokukhubeka kwegxalaba.

Kunini apho kufuneka utyando kwigxalaba eliphumileyo?

Uninzi lwabantu aludingi kutyando emva kokukhubeka kwegxalaba. Nangona kunjalo, unokufuna utyando kwiimeko ezilandelayo:

• Ukuba ingozi ebangele ukuba ihlombe lakho liqhume ibangele ezinye iingozi zangaphakathi.
• Ukuba ukunciphisa okuvaliweyo okukhankanyiweyo ngaphambili akusebenzi, okanye ukuba akunakwenzeka, kuya kufuneka utyando ukuze ulungelelanise igxalaba lakho.
• Ukuba sele ukhe waphuma igxalaba lakho, unokufuna utyando lokulungisa okanye ukuqinisa imisipha edibanisa ingalo yakho negxalaba lakho.

Kuthatha ixesha elingakanani ukuphola kwigxalaba eliphumileyo?

Igxalaba eliphumileyo lidla ngokuthatha iinyanga ezininzi ukuze liphole. Kuya kufuneka ulithintele igxalaba lakho kangangeeveki ezimbalwa uze emva koko ufumane unyango lomzimba lweenyanga eziliqela emva kokuba ilungu lipholile.

Buza ugqirha wakho ukuba kufuneka ulinde ixesha elingakanani ngaphambi kokuba uqalise ukwenza umthambo. Ukuba udlala imidlalo okanye uqhelisela umzimba ngaphambi kokuba igxalaba lakho liphile ngokupheleleyo, usemngciphekweni omkhulu wokuliphinda ulilimaze - oko kuthetha ukuba ungaliphinda ulikrune.

Ngaba ukuxinwa kwamagxa kungathintelwa?

Akusoloko kusenzeka ukuthintela ukukhubeka kwegxalaba, njengoko oku kwenzeka rhoqo ngenxa yeengozi ezingalindelekanga kunye nokwenzakala ngequbuliso (ukwenzakala).

Gcina ezi zinto engqondweni xa udlala:

• Nxiba izixhobo zokhuseleko ezifanelekileyo.
• Ukuba igxalaba lakho libuhlungu, nokuba ngexesha lomsebenzi okanye emva kwawo, musa ukucinga ukuba "ungakwazi ukudlala nje ngentlungu."
• Nika umzimba wakho ixesha lokuphumla nokuchacha emva komsebenzi onzima.
• Zifudumeze uze wolule kakuhle ngaphambi kokuba udlale imidlalo okanye wenze umthambo.
• Zipholise uze uzolule emva kokwenza umthambo.

Masenze ezi zinto ukuze sikhuseleke ngokubanzi:

• Gcina ikhaya lakho nendawo osebenza kuyo icocekile kwaye ingenazo izinto ezingafunekiyo. Oku kuya kuthintela wena nabanye ekuxabaneni.
• Xa uthatha izinto ekhaya, sebenzisa izixhobo okanye izixhobo ezifanelekileyo rhoqo. Ungaze ukhwele ezitulweni, etafileni, okanye kwiikhawuntara.
• Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa induku okanye i-walker.

Kuza kwenzeka ntoni ukuba igxalaba likhutshiwe? (Outlook)

Uninzi lwabantu luyaphola ngokupheleleyo emva kokukhubeka kwegxalaba. Nokuba utyando, kufuneka ukwazi ukubuyela kwimisebenzi yakho emininzi kunye nemidlalo emva kokuba igxalaba lakho lipholile.

Nangona kunjalo, igxalaba elalikhutshiwe ngaphambili linamathuba amaninzi okulimala kwakhona. Ezinye izifundo zifumanise ukuba ngaphezulu kwama-90% abadlali abangaphantsi kweminyaka engama-25 ubudala abakhubeka igxalaba labo ngelixa bedlala umdlalo wokudibanisa umzimba baya kuphinda balimaze igxalaba elifanayo kwixesha elizayo.

Thetha nogqirha wakho okanye ugqirha wakho ngaphambi kokuba uqalise nayiphi na imisebenzi yomzimba - ingakumbi imidlalo yokunxibelelana. Banokukunceda uqonde into omawuyilindele kunye nendlela yokuthintela ukukhubeka kwegxalaba kwixesha elizayo.

Ngaba awuyi kukwazi ukuya emsebenzini/esikolweni ukuba utyumkile igxalaba lakho?

Ukuba igxalaba lakho elonzakeleyo libuhlungu kakhulu ukuba ungasebenza okanye ungafunda, usenokungakwazi ukuya emsebenzini okanye esikolweni ngelixa igxalaba lakho lingashukumi. Ugqirha wakho uza kukuxelela ukuba zeziphi iintshukumo kunye neendlela omele uziphephe de uphile. Buza ugqirha wakho ukuba ungaqala nini ukudlala imidlalo, ukwenza imisebenzi yasekhaya, okanye ukuphakamisa iintsimbi.

Liliphi ixesha elifanelekileyo lokuya kunyango olungxamisekileyo?

Ukuba ukhe wenzakala ngequbuliso (ukwenzakala), yiya kwigumbi longxamiseko ngokukhawuleza.

Ukuba ucinga ukuba igxalaba lakho liphumile:

• Yiya kwicandelo lezonyango ezingxamisekileyo esibhedlele ngoko nangoko, okanye utsalele umnxeba inombolo yonyango olungxamisekileyo efana no-1990.
• Musa ukushukumisa isandla sakho. Sigcine kufutshane nomzimba wakho.
• Ungaze uzame ukuphinda ubeke igxalaba lakho wedwa. Ungaze uvumele nabani na ngaphandle kogqirha ukuba azame ukukwenza. Ukuba umntu ongenguye ugqirha uzama ukuphinda ubeke igxalaba lakho, ungonakalisa imithambo yegazi, izihlunu, imisipha kunye nemithambo-luvo.
• Beka ipakethe yomkhenkce kwindawo eyonzakeleyo ukunciphisa ukudumba kunye nentlungu.
• Iipilisi zokunciphisa iintlungu ze-NSAID ezithengiswa ngaphandle kwekhawuntara zinokukunceda ukunciphisa iintlungu zakho kunye nezinye iimpawu. Nangona kunjalo, musa ukuthatha ngaphezu kwedosi ecetyiswayo.

Yeyiphi imibuzo omele uyibuze ugqirha?

• Ngaba kuya kufuneka ndityandwe?
• Kuza kufuneka ndihlale ndingashukumi ixesha elingakanani?
• Ndiqala nini unyango lomzimba?
• Ndiza kukwazi nini ukudlala imidlalo okanye ukuzilolonga kwakhona?

Ngaba igxalaba eliphumileyo liza kuphola ngokwalo?

Hayi, igxalaba eliphumileyo alinakuphiliswa lodwa. Kwakhona, alinakuphiliswa kakuhle ngaphandle kokuba ugqirha alihlole aze alinyange kakuhle.

Ukuba uneempawu zegxalaba elikhubekileyo emva kokuwa, ingozi yezemidlalo, okanye enye ingozi, yiya kwicandelo lezonyango ezingxamisekileyo esibhedlele ngokukhawuleza.

Ngoko ke, masishwankathele oko sithethe ngako. (Umyalezo Wokubuyela Ekhaya)

Kulungile, ngoko ke igxalaba eliphumileyo livela xa intloko efana nebhola yethambo lakho elingaphezulu lengalo iphuma kwisokethi yegxalaba lakho. Ukuwa, ukwenzakala kwezemidlalo, kunye nokunye ukwenzakala ngequbuliso (ukwenzakala) zizinto eziqhelekileyo ezibangela ukuba igxalaba liphumile. Sithethe nangendlela igxalaba eliphumileyo ngayo elona gxalaba liphumileyo emzimbeni wethu.

Eyona nto ibalulekileyo kukuba, ungaze uzame ukubuyisa igxalaba lakho wedwa. Ungaze uvumele nabani na ukuba alichukumise okanye alishukumise ngaphandle kogqirha. Ukuba ucinga ukuba igxalaba lakho likhutshiwe, okanye ukuba awukwazi ukushukuma okanye ukusebenzisa ingalo yakho, yiya kwigumbi likaxakeka esibhedlele ngokukhawuleza.

Ndikunqwenelela ukuchacha ngokukhawuleza!

Ukukhubeka kwegxalaba , Ukwenzakala kwegxalaba, Ukukhubeka kwamalungu, Amathambo, Unyango lomzimba, Uncedo lokuqala, Ukwenzakala kwezemidlalo, Unyango olungxamisekileyo